Provider Demographics
NPI:1306865712
Name:BAIRD, NANCY (PSYD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2831 RINGLING BLVD
Mailing Address - Street 2:SUITE 207C
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-5351
Mailing Address - Country:US
Mailing Address - Phone:941-362-9972
Mailing Address - Fax:941-362-1999
Practice Address - Street 1:2831 RINGLING BLVD
Practice Address - Street 2:SUITE 207C
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5351
Practice Address - Country:US
Practice Address - Phone:941-362-9972
Practice Address - Fax:941-362-1999
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6698103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU0489Medicare ID - Type Unspecified